💼 Full-Time Position

DRG Clinical Validation Auditor - Manila

🏢
Carelon Global Solutions Philippines, Inc.
📍 manila, metro manila, Philippines
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Location
manila, Philippines
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Posted
June 08, 2026
Type
Full-Time
🎯

Full-Time Opportunity: This is a permanent, full-time position with a competitive package and real career growth potential.

Job Description

DRG Clinical Validation Auditor - Manila page is loaded## DRG Clinical Validation Auditor - Manilalocations: PHL-Taguig City-Alliance Global Tower, 11th Ave, Corner 36th St, Uptown Bonifacioposted on: Posted 2 Days Agotime left to apply: End Date: May 31, 2026 (30+ days left to apply)job requisition id: JR **Position Title:**DRG Clinical Validation Auditor - Manila**Shift:****Job Description:**Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. • Primary duties may include but are not limited to: • Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. • Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. • Utilizes audit tools, aud...